| Carly M. Peterschmidt, DMD, LLC | |
|
622 E 22nd Avenue Suite A Eugene OR 97408 | |
| (541) 687-2343 | |
| (541) 505-9258 |
| Full Name | Carly M. Peterschmidt, DMD, LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 622 E 22nd Avenue, Eugene, Oregon |
| Authorized Official Name and Position | Carly Peterschmidt (DENTIST) |
| Authorized Official Contact | 5419416558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carly M. Peterschmidt, DMD, LLC 622 E 22nd Ave Ste A Eugene OR 97405-2989 Ph: (541) 687-2343 | Carly M. Peterschmidt, DMD, LLC 622 E 22nd Avenue Suite A Eugene OR 97408 Ph: (541) 687-2343 |
| NPI Number | 1003339466 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003339466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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